diverticular hemorrhage; diverticular bleed
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Etiology
- diverticulitis
- use of aspirin or NSAIDS increases risk for diverticulitis & diverticular hemorrhage[2]
- diverticulosis: idiopathic
Clinical manifestations
- diverticular bleeding (without diverticulitis) is painless
- older patients with painless, large volume hematochezia
- may be BRBPR
Diagnostic procedures
Complications
- 1/4 of patients with presumptive diverticular hemorrhage will experience rebleeding within 6 years
Management
- colonoscopy
- hemostatic clips are preferred over thermal treatments for diverticular bleeding
More general terms
References
- ↑ Wangrattanapranee P, Khrucharoen U, Jensen DM, Jensen ME. Long-term natural history of presumptive diverticular hemorrhage. Am J Gastroenterol 2024 Dec; 119:2510. PMID: https://www.ncbi.nlm.nih.gov/pubmed/38989865 PMCID: PMC11636640 (available on 2025-12-01) https://journals.lww.com/ajg/abstract/2024/12000/long_term_natural_history_of_presumptive.29.aspx
- ↑ 2.0 2.1 Strate LL et al. Use of aspirin or nonsteroidal anti-inflammatory drugs increases risk for diverticulitis and diverticular bleeding. Gastroenterology 2011 May; 140:1427 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21320500
- ↑ 3.0 3.1 Strate LL, Gralnek IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol. 2016 Apr;111(4):459-74. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26925883
Strate LL, Gralnek IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol. 2016 May;111(5):755. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27151132